HomeMy WebLinkAboutKORN/FERRY INTERNATIONAL - INSURANCE CERTIFICATE (2)® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
03/01/2018
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
Marsh Risk & Insurance Services NAME:
PHONE FAX
CA License #0437153 C�No. Ert): _ __ (a/C. No):
777 South Figueroa Street E-MAIL
Los Angeles, CA 90017 ADDRESS:
Attn: LosAngeles.CertRequest@Marsh.com / F:212-948-0535 _____ INSURER(S) AFFORDING COVERAGE NAIC #
J44390-STND-GAUW-17-18 INSURER A : Federal Insurance Company 120281
INSURED Korn Ferry Hay Group, Inc. INSURER B : National Union Fire Ins. Co. of Pittsburgh, PA 19445
—
Korn/Ferry International INSURER C :
1900 Avenue of the Stars INSURER D :
Suite 2600
Los Angeles, CA 90067 INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: LOS-002131558-05 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _
INSR
LTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MM DD/YYYY
LICY EXP
M/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
35894292
04/01/2017
04/01/2018
EACH OCCURRENCE
$ 1,000,000
PREMISES Ea occur ence
$ 1,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL& ADV INJURY
$ 1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
X
POLICY ECT LOC
OTHER
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS -COMP/OP AGG
$ 2,000,000
Combined Total Agg
$ 10,000,000
A
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
73556722
04/01/2017
04/01/2018
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident)
$
Hired Comp/Coll Ded:
$ 1,000
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DEDT RETENTION $
$
B
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
WCO25893702(ADS)
WCO25893703 (CA)
WCO25893704 ( ME)
03/0112018
03101/2018
03/01/2019
03/01/2019
03/01/2019
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
1,000,000
$
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
the City of Fort Collins is/are included as Additional Insured on both General Liability and Automobile Liability as required by written contract but limited to the operations of the Insured under said contract.
CFRTIFICATF HOLDER CANCELLATION
The City of Fort Collins
Purchasing Department
PO Box 580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh Risk & Insurance Services
Eric Chua
U 19SS-201b AGUKU GUKI-UKA I IUN. All rlgntS reservea.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD